MAGDALA TULCIE JODESTY-JACKSON LMSW
NPI 1073159034
Social Worker - Clinical in Marietta, GA

Active since November 25, 2019
4343 SHALLOWORD ROAD, BUILDING H, SUITE 4 LOWER LEVEL, MARIETTA, GA 30062(678) 694-1573 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Magdala Tulcie Jodesty-jackson Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGDALA TULCIE JODESTY-JACKSON LMSW (NPI 1073159034) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (CSW009135) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1073159034
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAGDALA TULCIE JODESTY-JACKSONCredential: LMSW
Location Address4343 SHALLOWORD ROAD, BUILDING H, SUITE 4 LOWER LEVELMarietta, GA 30062
Mailing Address300 Brownhill CtWoodstock, GA 30188-2659 · (404) 784-6774
Sole ProprietorNo
Enumeration DateNovember 25, 2019
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1073159034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in GA · CSW009135 Licensed in GA · MSW004857
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4343 SHALLOWORD ROAD, Marietta, GA 30062

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073159034, enumerated as an "individual" on November 25, 2019.

The provider is located at 4343 SHALLOWORD ROAD BUILDING H, SUITE 4 LOWER LEVEL MARIETTA, GA 30062 and the phone number is (678) 694-1573.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.